OLGA VLADIMIROVNA WYMORE
NPI 1528858859
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Active since May 09, 2025PECOS EnrolledAccepts Medicare Assignment
13000 HARBOR CENTER DR STE 103, WOODBRIDGE, VA 22192(804) 982-4370 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2025, May 9, 2025 (2 updates tracked since 2025).

About Olga Vladimirovna Wymore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLGA VLADIMIROVNA WYMORE (NPI 1528858859) is an individual psychiatric/mental health provider in Woodbridge, Virginia, licensed in Virginia (24193441) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528858859
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameOLGA VLADIMIROVNA WYMORE
Location Address13000 HARBOR CENTER DR STE 103Woodbridge, VA 22192-2847
Mailing Address2808 Noble Fir CtWoodbridge, VA 22192-3816 · (804) 982-4370
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 9, 2025
Last NPPES UpdateMay 12, 20252 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1528858859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VA · 24193441
13000 HARBOR CENTER DR STE 103, Woodbridge, VA 22192

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Olga Vladimirovna Wymore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991201642
PECOS Enrollment IDI20251001002099, I20260515000882
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
13000 HARBOR CENTER DR STE 103
WOODBRIDGE, VA 22192
Nurse Practitioner (Psychiatric/Mental Health)
13000 HARBOR CENTER DR STE 103
WOODBRIDGE, VA 22192

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olga Wymore's NPI number?

The NPI number for Olga Wymore is 1528858859. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Olga Wymore located?

Olga Wymore practices at 13000 Harbor Center Dr Ste 103, Woodbridge, VA 22192. The listed phone number is (804) 982-4370.

What is Olga Wymore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Olga Wymore enrolled in Medicare?

Yes. Olga Wymore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Olga Wymore was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.